Korean Circ J.  1999 Aug;29(8):844-847. 10.4070/kcj.1999.29.8.844.

A Case of Atrial Septal Aneurysm Associated with Multiple Renal Infarction

• Kim JK
• Kim WG
• Jeon SH
• Koh YY
• Lim DS
• Ryu JC
• Hong SK
• Hwang HK
• Hong SR
• Hyon MS

• KMID: 1545142
• DOI: http://doi.org/10.4070/kcj.1999.29.8.844

Abstract

Atrial septal aneurysm (ASA) was reported as a cause of unknown origin of central or peripheral thromboembolism with patent foramen ovale, aortic debris and spontaneous echo contrast. Especially the paradoxical right to left shunt via micro-fenestration on this sac may be the important cause of this embolism. We report a case of 39 year-old female patient who had atrial septal aneurysm with multiple renal infarction. Symptom was improved with aneurysmectomy and patch closure, then long term anticoagulation has been continued.

Keyword

Atrial septal aneurysm; Embolism; Platypnea; Paradoxical shunt

MeSH Terms

Adult
Aneurysm*
Embolism
Female
Foramen Ovale, Patent
Humans
Infarction*
Thromboembolism